.

PATIENT POSITIONING
Group 1 (CHH-Fuente)
Dr. Amandoron, Kirk
Dr. Lim, Bert
Dr. Lopez, Juleos
Dr. Tan-Yu, Denica
Dr. Villena, Bea Lou

POSITION DEFINITION INDICATIONS SPECIAL COMPLICATIONS

CONSIDERATIONS

Lawn or beach - semi-sitting position shoulder surgery - superior access - venous air
chair position with the head of the to the shoulder embolism (VAE)
patient more reclined from both the - quadriplegia
than in the traditional anterior and - spinal cord
sitting position posterior aspect infarctio
- flexion at the torso and the potential - hemodynamic
- Arms are supported so for great mobility instability
that the shoulders are of the arm at the - pneumocephalu
slightly elevated shoulder joint s
- knees are also usually - Excellent access - macroglossia
slightly flexed to the airway - peripheral nerve
- feet are supported and - facial swelling is injuries
padded minimized - cervical spinal
- patient’s head must be - pulmonary cord injury
specially fixed in the mechanics are - Arrhythmias
sitting position with rea- sonably -
either rigid pins or preserved
taped into a special - Gravita- tional
headrest venous drainage
- of blood →
decrease blood
in the operative
field → reduces
.

surgical blood
loss
-

Supine - Patient lies on his or - Widespread use - Does not place - Brachial Plexus
her back with a small in most hip and knee Neuropathy
pillow beneath the procedures joints in neutral - Sternal
head. involving positions Retraction
- The arms are either anterior surgical - Poorly tolerated - Long Thoracic
comfortably padded sites for prolonged Nerve
and restrained periods by an Dysfunction
alongside the trunk or immobilized, - Axillary Trauma
abducted on awake patient from the
well-padded arm - Humeral Head
boards. - Radial Nerve
- Either arm (or both) Compression
may be extended - Median Nerve
ventrally and the flexed Dysfunction
forearm secured to an - Ulnar
elevated frame in such Neuropathy
a way that - Arm
- perfusion of the Complications
hand is not - Backache and
compromised Paraplegia
- no skin-to-metal - Compartment
contact exists to Syndrome
cause electrical -
burns if cautery
is used
- the brachial
neurovascular
bundle is
neither
stretched nor
compressed at
the axilla.
.

Prone position or Prone position with Wilson Primarily used for Regardless of the type ● Perioperative
Ventral frame. surgical access to the of head-support vision loss
Decubitus ● Arms are abducted less posterior fossa of the technique, proper ● Bite injuries
than 90 degrees skull, the posterior positioning must be ● Airway edema
whenever possible, spine, the buttocks and frequently verified ● Eye injury
although greater perirectal area, and the during the surgery, ● Pressure injury
abduction may be posterior lower checking that there is ● Inadvertent loss
better tolerated while extremities. no pressure on the of the
prone. eyes, that the airway is endotracheal
● Pressure points are secure, and that the tube, monitoring,
padded, and the chest head weight lies on the and intravenous
and abdomen are bony facial lines
supported away from prominences only.
the bed to minimize
abdominal pressure Pulmonary function is
and to preserve usually better in the
pulmonary compliance. prone position than in
● Soft head pillow has the supine position.
cutouts for eyes and
nose and a slot to
permit endotracheal
tube exit.
● Eyes must be checked
frequently.